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1184943045
PHIL LAXTON
DURANT, OK
NPI
1184943045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-05-18
Last Update Date
2010-05-18
Business Address
-- PHIL LAXTON
1105 LYNNWOOD STREET
DURANT, OK 74701-2919
Phone number: 580-931-3441
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Mailing Address
-- PHIL LAXTON
1105 LYNNWOOD STREET
DURANT, OK 74701-2919
Phone number: 580-931-3441
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